Male Death Registration: Year: 1971 number: 4795
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004795
1. PLACE OF DEATH County of Cumberland If in City or Town Springhill
If death occured in a hospital or institution 31 Victoria (Residence)
3. PRINT NAME OF DECEASED Joseph, Samuel
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Lebanese
7. Single, Married
married
8. BIRTHPLACE Lebanon
9. DATE OF BIRTH 4 1, 1888
10. AGE in Years83 Months3 Days29 | hrs or mins
11. Trade or profession Miner - Retired
12. Kind of industry Coal Mining
13. Date last worked 1958 14. Total years 21 yrs
15. If married name of spouse Samihi Joseph
16. NAME of Father Yousff Saud Joseph
17. BIRTHPLACE Lebanon
18. NAME of Mother Harma Haush
19. BIRTHPLACE Lebanon
20. Signature of Informant Mrs. Adel. Gilbert
address 25 Victoria St., Springhill
Relationship to deceased Daughter
21. Place of burial Springhill
Date of burial August 2, 1971
22. Undertaker A.H. Brown Funeral Service Ltd., Springhill
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 30, 1971
CAUSE OF DEATH
(a) Carcinoma of Bowel with metastases
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496870
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